RET receptor signaling: dysfunction in thyroid cancer and Hirschsprung's disease

Naoya Asai1, Mayumi Jijiwa, Atsushi Enomoto

  • 1Department of Pathology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Insights

Gain-of-function RET gene mutations drive thyroid cancer, while loss-of-function mutations cause Hirschsprung

Area of Science:

  • Oncology
  • Genetics
  • Developmental Biology

Background:

  • The receptor tyrosine kinase gene RET plays a critical role in human development and disease.
  • Dysregulation of RET signaling, through gain-of-function or loss-of-function mutations, is implicated in various human pathologies.
  • Thyroid cancer and Hirschsprung's disease are key examples of RET-associated disorders.

Purpose of the Study:

  • To review recent advancements in understanding RET signaling pathways.
  • To explore the mechanisms by which RET mutations lead to human diseases.
  • To highlight the significance of RET signaling in both cancer and developmental disorders.

Main Methods:

  • Review of existing literature on RET gene mutations and signaling.
  • Analysis of studies comparing normal and aberrant RET signaling.
  • Integration of findings from research on thyroid cancer and Hirschsprung's disease.

Main Results:

  • Gain-of-function RET mutations are causative in various thyroid cancers, including papillary thyroid carcinoma and medullary thyroid carcinoma.
  • Somatic and germline RET alterations are identified in different forms of thyroid cancer and related syndromes (MEN2A, MEN2B, FMTC).
  • Loss-of-function RET mutations are linked to Hirschsprung's disease, a congenital enteric nervous system defect.

Conclusions:

  • Understanding RET signaling dynamics is crucial for deciphering disease mechanisms.
  • Targeted therapies for RET-driven cancers are an active area of research.
  • Further investigation into RET signaling dysfunction promises insights into both oncogenesis and developmental abnormalities.

Related Concept Videos

Enzyme-linked Receptors01:00

Enzyme-linked Receptors

Enzyme-linked receptors are proteins that act as both receptor and enzyme, activating multiple intracellular signals. This is a large group of receptors that include the receptor tyrosine kinase (RTK) family. Many growth factors and hormones bind to and activate the RTKs.
Neurotrophin (NT) receptors are a family of RTKs, including trkA, trkB, and trkC (tropomyosin-related kinase) receptors. TrkA is specific for nerve growth factor (NGF), neurotrophin-6, and neurotrophin-7. TrkB binds...
Receptor Downregulation in MVBs01:15

Receptor Downregulation in MVBs

Multivesicular bodies (MVBs) are mature endosomes that sort ubiquitinated proteins and then fuse with lysosomes to degrade the sorted proteins. Epidermal growth factor (EGF) and its receptor (EGFR) form a complex that can be internalized through endocytosis, sorted into an MVB, and later degraded.
The EGFR can initiate signaling pathways that  lead to cell proliferation, migration, and differentiation. Overexpression of EGFR  stimulates cells to proliferate. Excessive  EGFR activation may...
Receptor Tyrosine Kinases01:26

Receptor Tyrosine Kinases

Receptor tyrosine kinases or RTKs are membrane-bound receptors that phosphorylate specific tyrosine on protein substrates. RTKs regulate cellular growth, differentiation, survival, and migration. They contain an extracellular ligand binding domain, a transmembrane domain, and a cytosolic tail with intrinsic kinase activity. Several extracellular signaling molecules activate RTKs in one or more ways and relay the signal downstream. Ligands such as platelet-derived growth factor (PDGF) or...
Role of Ephrin-Eph Signalling in Intestinal Stem Cell Renewal01:22

Role of Ephrin-Eph Signalling in Intestinal Stem Cell Renewal

Erythropoietin-producing hepatocellular carcinoma receptor (Eph) and its ligand, Eph receptor-interacting protein (Ephrin) were first discovered in the human carcinoma cell line, hence the name. Ephrin-Eph interaction guides cells to reach their appropriate location in adult tissues. They also play an essential role in the immune system by helping in immune cell migration, adhesion, and activation. Based on their structure and function, Eph is divided into two classes — EphA and EphB.
Role Of Notch Signalling In Intestinal Stem Cell Renewal01:12

Role Of Notch Signalling In Intestinal Stem Cell Renewal

Notch signaling was first discovered in Drosophila melanogaster, where it is involved in cell lineage differentiation. Notch signaling regulates the maintenance and differentiation of intestinal stem cells or ISCs by controlling the expression of atonal homolog 1 or Atoh1. Atoh1 directs cells to differentiate into secretory cells.
Direct cell-to-cell contact is needed for the activation of Notch signaling. The signal is initiated when a notch ligand binds to a receptor on an adjacent cell, also...
Transducer Mechanism: Enzyme-Linked Receptors01:27

Transducer Mechanism: Enzyme-Linked Receptors

Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
Major types that are helpful drug targets include: